Positron emission tomography enhancing tumor thrombus in patient with renal cell carcinoma.
A 65-year-old man underwent computed tomography (CT) of the abdomen during evaluation for anemia which showed a 10 cm right renal mass and inferior vena cava (IVC) thrombus. Positron emission tomography (PET)/CT revealed uptake of flurorodeoxyglucose (FDG) within only the tumor mass and thrombus. Right radical nephrectomy and IVC thrombectomy with IVC patch graft reconstruction were performed. Final pathology showed pT3bNxMx renal cell carcinoma (RCC) with IVC thrombus composed of poorly differentiated RCC. There is no evidence of recurrence at one year follow-up. We discuss the role of PET in RCC.
Snow
Devon
D
Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Cohen
Daniel
D
Chapman
William C
WC
Grubb
Robert L
RL
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging* / Q000556:secondary*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D009360:Neoplastic Cells, Circulating; D049268:Positron-Emission Tomography